Active NPI
Curtis A Andre, O.D.
- Optometrist
- Turlock, CA
National Provider Identifier
1447310230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6157T
- Practice address
- 711 E Hawkeye Ave
Suite 1
Turlock, CA 95380-7505 - Phone
- (209) 632-2411
- Fax
- (209) 632-9019
- NPI assigned
- Dec 11, 2006
- Last updated
- May 30, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 6157T | CA | Primary |
Addresses
Primary practice location
711 E Hawkeye Ave
Suite 1
Turlock, CA 95380-7505
Mailing address
711 E Hawkeye Ave
Suite 1
Turlock, CA 95380-7505
Phone (209) 632-2411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GSD001760 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Berkeley Northeastern State University - College of Medicine, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
711 E Hawkeye Ave
Suite 1
Turlock, CA 95380-7505
Phone (209) 632-9019
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6157T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Curt Andre OD Incorporated | Optometrist | Current | Accepting new patients |
Locations
711 E Hawkeye Ave
Ste 1
Turlock, CA 95380
Phone (209) 632-2411
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369872000000",
"number": "1447310230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 E HAWKEYE AVE",
"address_2": "SUITE 1",
"city": "TURLOCK",
"state": "CA",
"postal_code": "953807505",
"telephone_number": "209-632-2411",
"fax_number": "209-632-9019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 E HAWKEYE AVE",
"address_2": "SUITE 1",
"city": "TURLOCK",
"state": "CA",
"postal_code": "953807505",
"telephone_number": "209-632-2411",
"fax_number": "209-632-9019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDRE",
"first_name": "CURTIS",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2013-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "6157T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GSD001760",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Turlock, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.